Individual provider Active NPI

Jan Marie Schwarzrock, MSW, LICSW, RPT

  • Clinical Social Worker
  • New Ulm, MN
National Provider Identifier
1851809305
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22782 Issued in MN
Practice address
210 20TH South St
New Ulm, MN 56073-2223
Phone
(507) 338-5600
Fax
(888) 338-6234
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22782 MN Primary

Addresses

Primary practice location

210 20TH South St
New Ulm, MN 56073-2223

Mailing address

PO Box 12
New Ulm, MN 56073-0012
Phone (507) 338-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319002713 MN Practitioner - Clinical Social Worker 2567724313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22782MNMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1851809305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560730012",
            "telephone_number": "507-338-5600",
            "fax_number": "888-338-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 20TH SOUTH ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560732223",
            "telephone_number": "507-338-5600",
            "fax_number": "888-338-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZROCK",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.